Welcome to LWOW X!

BEFORE WE BEGIN, WE NEED ADDITIONAL INFORMATION FROM YOU. PLEASE COMPLETE THE FORM BELOW TO MAKE YOUR PARTICIPATION IN LWOW 2017 OFFICIAL.

Name *

Name

First Name

Last Name

Email Address *

Linkedin URL *

Please provide the URL to your Linkedin profile.

Participating School *

By checking "yes" below, I commit to attending all the LWOW Live sessions (Wednesdays from 22:00 to 23:30 UTC, from the end of January through the end of March). I understand that these sessions are mandatory, and that my Faculty Lead will be notified if I miss a session. I also understand that unpermitted absences may result in my termination from the program. *

Teaming is an integral part of the LWOW experience. By checking "yes" below, I understand that LWOW cannot guarantee my assignment to my top challenge preference. *

Yes

RELEASE

LawWithoutWalls and the University of Miami shall have the right to photograph, record, publish, re-publish, adapt, exhibit, reproduce, edit, modify, make derivative works, distribute, display or otherwise use or reuse the undersigned's name, image, voice, appearance, and performances, and/or likeness (whether recorded on or transferred to photographs, audio or video tapes, digital media, or other media known now or later developed) in connection with any product or service in all markets, media, or technology (now known or hereafter) as long as there is no intent to use the image, voice, and/or likeness in a disparaging manner. The undersigned acknowledges receipt of good and valuable consideration in exchange for this Release, which may simply be the opportunity to participate in LawWithoutWalls and represent LawWithoutWalls and the University in its promotional and advertising materials. *

Please type your legal name in the box below to serve as your electronic signature.